Advanced Diploma Application

Personal Information

Family Name

First

Middle

Date of Birth

Place of Birth

e-mail

Mobile Phone

Address

Cell

Sector

District

City

Country

Gender

Marital

Spouse Name

Nunber of Children

Father's Name

Mother's Name

Mother Tongue

Religion

Employment

Mobile Phone

Health Status

Do you have any health problems or chronic disease?

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College of Engineering

Mechatronics Engineering Aviation Maintenance Cyber Security

Nuclear Engineering Computer Engineering Automobile Maintenance

Educational Background

Secondary School Attended

Year Begun

Year of Completion

Subject Combination

Higher Learning Institutions Attended

Year Begun

Year of Completion

Financial Information

Who will pay for your tuition fee?

Phone

Address

(Attach a letter of guarantee for payment of school fees to UAUR)

Recommendation

Name and addresses of two recommenders who academically know you, one of whom should be either the Headmaster of the Institution or his senior coordinator in charge of courses or discipline.

Statement

I hereby declare that the above information given is true and complete. I am informed of the right of UAUR to refuse my application or cancel my registration any time the information given is proven to be wrong.
I promise to undertake the academic regulations included in Student Handbook and UAUR Bulletin.

Please Check!

I agree to the collection of personal information.

Name of Applicant:

Signature

Date

Advanced Diploma Application

Personal Information

Select Programs

Educational Background

Subject Combination

Financial Information

(Attach a letter of guarantee for payment of school fees to UAUR)

Recommendation

Name and addresses of two recommenders who academically know you, one of whom should be either the Headmaster of the Institution or his senior coordinator in charge of courses or discipline.

Statement

United African Institute of Technology

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